BLOOM NPI 1386517035

NPI Information

  • NPI: 1386517035
  • Provider Name: BLOOM
  • Classification: Home Health Aide - 374U00000X
  • Entity Type: Organization
  • Address: 114 W MAIN ST STE 35
    MESA, AZ
    ZIP 85201
  • Phone: (623) 296-2943

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NPI Details

BLOOM is a home health aide in Mesa, AZ. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. BLOOM NPI is 1386517035. The provider is registered as an organization entity type.

The provider's business location address is:

114 W MAIN ST STE 35
MESA, AZ
ZIP 85201-310
Phone: (623) 296-2943

The provider's authorized official is Charae Jackson .
The authorized official title is Director and has the following contact phone number (623) 296-2943.

The enumeration date for this NPI number is 9/29/2025 and was last updated on 9/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174200000XMealsNo
2251E00000XHome HealthNo
3251G00000XHospice Care, Community BasedNo
4253Z00000XIn Home Supportive CareNo
5332U00000XHome Delivered MealsNo
6374U00000XHome Health AideYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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